Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.21 / $31.22 / $34.77	Facility	26	$20.21	$31.22	$34.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $91.93 / $129.27	Professional		$59.75	$91.93	$129.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $70.64 / $144.81	Professional		$21.79	$70.64	$144.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.16 / $22.16 / $22.16	Facility	26	$22.16	$22.16	$22.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $116.38 / $175.12	Professional		$41.76	$116.38	$175.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $126.53 / $351.78	Professional		$72.62	$126.53	$351.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $28.63 / $101.41	Professional	26	$20.03	$28.63	$101.41
Hally Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $109.34 / $118.01	Professional		$106.28	$109.34	$118.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.34 / $114.45	Professional		$26.71	$32.34	$114.45
United Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $102.15 / $195.40	Professional		$49.82	$102.15	$195.40